Kylle Colquhoun, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7065 Airways Blvd Ste 110
Southaven, MS 38671-5874

Phone

(662) 349-8997

NPI assigned

Aug 22, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• US PT Texas Inc

  • Physical Therapist
  • Southaven, MS
  • NPI 1174859631
  Medicare reassignment NPD
• Leader Physical Therapy Limited Partnership

  • Physical Therapist
  • Lakeland, TN
  • NPI 1528830064
  Medicare reassignment NPD
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1376541409

  Physical Therapist

  Medicare reassignment NPD
• MSK Group, PC

  • Physical Therapist
  • Southaven, MS
  • NPI 1114793189
  NPD
• Leader Physical Therapy Limited Partnership

  • Physical Therapist
  • Cordova, TN
  • NPI 1114683562
  NPD
• MSK Group PC

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1912303447

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1881241099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD STE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD STE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715874",
            "telephone_number": "662-349-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUHOUN",
        "first_name": "KYLLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12205",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Kenneth Coleman, DMD
• Jessica Brittain Coleman, M.A.
• Korneshia Collier
• Cristy Collins
• Lauren Robilio Collins, FNP
• George Paul Comeaux, LCSW
• Compass Laboratory Services of Mississippi LLC
• Compassionate Nurses Healthcare
• Complete Diabetes Pharmacy Care Inc
• Complete Diagnostic Laboratories, LLC

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.